<Unavail>

LBN: Serenity House, Inc
<Unavail> is an health care organization with primary practice located at 2801 W Roosevelt Rd , Little Rock AR 72204-5655. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Serenity House, Inc can be contacted via phone (501) 663-7627, or through Gaines, Larry A via phone (501) 663-7627.

Contact Information

Primary practice address
2801 W Roosevelt Rd Little Rock AR 72204-5655
Phone: (501) 663-7627
Fax: (501) 663-2859
Website:
Map and Directions
Authorized official contact:
Name: Gaines, Larry A ICADC
Phone: (501) 663-7627

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Arkansas

Profile Details

NPI number 1588892848
LBN Legal business name Serenity House, Inc
DBA Doing business as <Unavail>
Authorized official Gaines, Larry A ICADC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588892848 NPPES
Arkansas Other D546312 ARKANSAS DIVISION OF BEHAVIORAL HEALTH- OADAP

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